| NPI | 1992242309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2280851) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2280851) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2020-12-30 |